MBS for Physicians
Behavioral Health
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Our Behavioral Health Billing Services are tailored to address the distinct challenges that mental health professionals encounter. We bring in-depth expertise in behavioral health billing codes, industry-specific regulations, and payer requirements to ensure accurate claim submission and faster reimbursements.
Whether you're a psychiatrist, therapist, or counselor, we help reduce denials, streamline your billing process, and optimize your revenue cycle. By ensuring compliance with healthcare standards, we enable you to focus on what truly matters—delivering compassionate, high-quality care to your patients.
Medical Billing At A Glance
Explore the key performance metrics that reflect our dedication to accurate coding, reduced denials, and maximized reimbursements for healthcare providers.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Behavioral Health Billing Services
Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes
Behavioral Medicine physicians often struggle with efficient medical billing due to the interdisciplinary nature of their care. The integration of biological, psychological, behavioral, and social science-based treatment makes documentation and coding more complex than standard clinical services.
Challenges Faced:
Navigating billing complexities arising from multifaceted patient care approaches
Limited time to manage detailed billing processes while maintaining patient focus
Our billing experts specialize in addressing these specific hurdles, ensuring accurate claims and faster reimbursements.
Our advisory team for Behavioral Health Billing and Coding includes AAPC-certified medical coders who are proficient in using the latest billing software. They ensure precise application of CPT, ICD-10, and HCPCS codes.
Expertise in platforms like Lytec, Medic, Misys, Medisoft, NextGen, and IDX
Strict adherence to HIPAA-compliant billing practices
Efficient claims processing with major private insurers (United Health, Aetna, Humana) and federal programs like Medicare and Medicaid
We offer a comprehensive range of billing and coding services tailored for professionals in Behavioral Medicine, including psychologists, physicians, and qualified nurses.
Services include procedures such as biofeedback, hypnosis, and bio-behavioral therapy for physical disorders
Support for occupational therapy, rehabilitation medicine, and physiatry
Preventive medicine services covering strategies for health promotion and disease prevention
Accurate billing in Behavioral Medicine depends on proper CPT code usage. Below are key CPT codes frequently applied to behavioral health procedures:
96150: Initial evaluation of biological, psychological, and social factors
96151: Re-evaluation to assess ongoing treatment needs
96152: Individual intervention services addressing behavioral health factors
96153: Group interventions (e.g., smoking cessation)
96154: Family interventions with the patient present
96155: Family interventions without the patient present
We employ precise medical billing modifiers to prevent reimbursement delays and claim denials. These modifiers ensure accurate claim submission and enhance billing outcomes:
Modifier 22: Indicates services provided were significantly greater than typically required.
Modifier 52: Used when a service or procedure is partially reduced or eliminated, affecting the final reimbursement.
Outsourcing billing and coding services delivers several key benefits for Behavioral Health physicians, significantly improving practice efficiency and profitability:
Streamlined Revenue Cycle: Enhances financial management through efficient billing workflows.
Higher Collection Rates: Ensures accurate, timely claim submissions to boost reimbursements.
Improved Patient Inflow: Better billing systems lead to smoother operations and increased referrals.
Support for Research Growth: Frees up time and resources to focus on clinical development and innovation.
Our comprehensive billing services for Behavioral Health professionals offer:
Accurate charge capture with precise procedure coding
Electronic claims submission and full patient billing management
A multi-tiered appeal process to handle denials or delays effectively
Strict compliance adherence for maximum reimbursement
By outsourcing your billing to our Behavioral Health Billing Advisory, you can focus on delivering care while we manage the complex coding and billing process—resulting in improved financial performance and streamlined operations.
Occupational health providers often work across multiple specialties like occupational medicine, public health, and industrial psychology, leaving limited bandwidth for managing billing processes. This often results in errors, underpayments, or denials—disrupting the revenue cycle.
MBC delivers specialized occupational health billing services with accurate coding, efficient claims submission, and strong denial management. Our certified billers leverage advanced systems like Epic, Cerner, and NextGen, ensuring compliance with CPT, HCPCS, and ICD standards.
Key Benefits: Streamlined revenue cycle with improved collections
Value Addition: Higher patient referrals and increased research potential
Rehab billing is a critical subset of behavioral health services, often complicated by vague insurance coverage and partial reimbursements. Care providers must navigate complex procedural requirements, which can lead to claim errors and delayed payments if not managed effectively.
MBS simplifies this process by providing end-to-end rehab billing solutions. From accurate coverage identification to submission and follow-ups, our services help providers minimize denials. Whether you need in-house process optimization or fully outsourced billing, we tailor our services to meet the specific needs of rehab facilities.
Key Benefits:
Accurate claims submission
Reduced accounts receivable
Customized Support:
Flexible service models to optimize workflows and revenue management.
At MBS, we specialize in mental health billing, covering individual/group therapy, family therapy, medication management, and more. Our team is experienced with ICD-10 and CPT codes, plus managing Medicare, Medicaid, and private insurance requirements. We also handle authorizations, referrals, and workers’ comp claims.
Key Benefits: Reduced denials through precise claims and thorough documentation.
Comprehensive Expertise: Billing for psychotherapy, psychological testing, and EAP visits.